Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Middletown, DE: $45.05

Avg. Paid

$45.05

Range

$0.00 – $102.48

Total Claims

159,466

Providers

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Middletown, DE

Provider	Avg. Paid	Claims	Patients
William Covell 212 Carter Dr	$43.25	17	14
Linda Gable-Stewart 735 Mapleton Ave	$95.24	22	14
Oluwatosin Odunsi 1591 E Matisse Dr	$74.28	29	15
Delaware Integrative Healthcare Llc 421 E Main St Ste 6	$102.48	31	29
Flavee Simone Banfield 212 Carter Dr Ste C	$0.00	44	42
Laura M Lundgren 200 Cleaver Farm Rd	$3.08	49	41
Bernard Akihito Addogoh 108 Patriot Dr Ste A	$0.47	54	46
Pamela Achenchi 122 Silver Lake Rd	$0.00	69	52
Beth Fisher 124 Sleepy Hollow Dr	$0.23	71	40
Chayna Hardy-Reid 114 Sandhill Dr Ste 101	$29.62	85	78
Advanced Care Basic, Llc 3 Emerson Ct	$59.22	89	75
Terence F Duffy 291 Carter Dr Ste A	$4.20	103	95
Elizabeth A Crowe 200 Cleaver Farm Rd	$0.61	124	107
Hallie Katrina Forsythe-Dennison 3 Emerson Ct	$0.00	131	99
Patricia D Mcdonnell 114 Sandhill Dr Ste 101	$8.42	131	123
Gerard A. Kuhn Nemours Pediatrics Middletown	$0.00	171	158
Stephen Duggan 124 Sleepy Hollow Dr	$2.70	230	130
Patrick Sallay Massaquoi 124 Sleepy Hollow Dr	$2.09	245	214
Kathleen M. Sawyer Nemours Pediatrics Middletown	$0.85	262	219
Chitra Vaidy 200 Cleaver Farm Rd Ste 201	$0.00	329	289
Caren Michelle Coffy-Mccormick 292 Carter Dr	$1.53	358	295
John Mathew Cellucci 124 Sleepy Hollow Dr	$46.66	585	570
Mhaidi Elmedkhar 209 E Main St	$6.57	624	512
Kirsten Przywara Opalach 124 Sleepy Hollow Dr	$95.51	663	627
Pittman Behavioral Health Llc 102 Sleepy Hollow Dr	$62.00	763	618
Deborah Streeter 118 Sandhill Dr Ste 203	$15.03	810	441
Bobbie Jo Mccready 621 Middletown Odessa Rd Fl 2	$82.53	1,097	982
Circle Of Hope Services Llc 210 Ann Dr	$78.36	1,126	975
Victoria C Quinn 621 Middletown Odessa Rd Fl 2	$36.05	1,153	1,048
Creative Medical Consulting, Llc 120 W Main St Ste 202	$85.15	1,453	1,345
Family Medicine Of Middletown, Pa. 209 E Main St Ste 6	$73.83	1,479	1,340
Laxmichand Dedhia 114 Sandhill Dr	$4.81	1,484	1,166
Berjees Mukhtar 4 Mccumber Ln	$0.12	1,823	1,541
Withney Milord Korley 5435 Peterson Rd	$62.41	1,916	1,821
Mccormick & Associates Of Middletown, Llc 292 Carter Dr	$78.67	3,837	3,283
Sunwise Dermatology & Surgery Llc 102 Sleepy Hollow Dr Ste 203	$81.65	5,033	4,762
Middletown Familycare Associates Llc 114 Sandhill Dr	$58.41	6,141	5,315
Emelda Fri Njei 12 Pennington St Ste 100	$96.36	6,279	5,660
Usman T Akram 118 Sandhill Dr Ste 204	$34.48	13,869	11,824
Center For Interventional Pain Spine Llc 291 Carter Dr Ste B	$40.08	106,687	81,055

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Middletown, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middletown, DE is $45.05 per claim, based on 159,466 claims from 40 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Middletown, DE?

There are 40 Medicaid providers offering Office Visit related services in Middletown, DE according to public payment data.

What is the price range for Office Visit in Middletown, DE?

Medicaid reimbursement for Office Visit in Middletown, DE ranges from $0.00 to $102.48 per claim, with an average of $45.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Middletown, DE: $45.05

Providers Offering Office Visit in Middletown, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Middletown, DE

Physical Therapy

Personal Care Services

Psychiatric Evaluation

Chiropractic Care

Dental Cleaning & Exam

Blood Work & Lab Tests

Eye Exam

Prescription Medications